A simple statement by a state that its payments for DME will not exceed the FFP limit would not be adequate. The statute establishes a limit on the Secretary’s ability to pay FFP, and we must follow the statutory restrictions. We have discussed two potential approaches that a state might use in the January 4, 2018 letter. Any state that wishes to discuss alternative approaches under the State Medicaid Director Letter should contact the Medicaid DME team with all of the information relevant to their request as early in the year as possible.
Date
Sub Topic
FAQ ID
93561
FAQ Page
FAQ Question
Can a state be exempt from the durable medical equipment (DME) federal financial participation (FFP) limit demonstration if they can show that the state's state plan and/or regulations or statues don't allow payments in excess of the new limit?